Проанализированы результаты оперативного лечения рака желудка у 1389 пациентов на материале хирургического отделения Приморского онкологического диспансера за 1995-2010 г. Радикальное вмешательство выполнено в 856, паллиативное - в 259 случаях. В 274 наблюдениях осуществлена пробная лапаротомия. Осложнения зарегистрированы в 229 наблюдениях, в течение 30 дней после операции умерли 98 человек. В динамике отмечено снижение числа послеоперационных осложнений и летальности.
Gastric cancer (GC) is one of the most common cancers in the world. Each year registered more than 1 million of new cases and about 700,000 deaths from this disease. Methods. Analysis of the results of surgical treatment of 1,389 GC patients based on data of the surgical department of the Primorsky Oncological Center for1995-2010. Results. Radical surgery was performed in 856 cases, palliative one -in 259 cases. Trial laparotomy applied in 274 cases. Complications reported within 30 days after the operation in 229 cases, 98 people died. Case monitoring detects the decrement of a number of the postoperative complications and mortality. Conclusions. The problem of the GC therapy does not cease being topical. Most patients admit to a hospital at the neglected stage of illness that worsens the conditions and results of operations, as well as the long-term prognosis. The main ways of reducing postoperative mortality of the GC patients are the reliable anastomoses and prevention of cardiac disorders.
The authors declare that there are no conflicts of interest present.